Extras FAQs

You’ll find many answers to the most common questions about extras cover here. If you can’t find what you’re looking for or have a specific question regarding your own policy, please contact us.

How much can I claim back on Extras services?

Depending on the level of health cover you choose, you can claim either 60% (Starter, Starter Boost and Everyday Active) or 70% (Premium Active) of the cost back on Extras every time you claim, until you reach your annual limit.

What is an annual limit?

Extras Cover annual limits are the maximum amount you can claim on a particular service per calendar year. These limits vary depending on your level of extras health cover and what service you’re claiming for. For example, with the Premium Active Extras Cover there’s an annual limit of $500 on physio.

EXTRAS COVER

With private health insurance you won’t have to wait on public hospital waiting lists when you need treatment.In comparison, waiting times for treatment as a public patient in a public hospital under Medicare are on average:• 4 months for removal of tonsils (120 days)
• 1.5+ weeks for coronary bypass surgery (13 days)
• 3.5+ months for hip replacement surgery (114 days)
• 6+ months for knee replacement surgery (188 days)

The Medicare Levy Surcharge (MLS) is a government tax on top of the normal Medicare Levy and impacts singles with a taxable income of over $90,000 or families (including couples and single-parents) with a taxable income of over $180,000 who don’t have an appropriate level of private hospital insurance for the full financial year.

Holding any AAMI Health Insurance Hospital Cover product means you won’t pay the MLS if your income is above the government threshold and you maintain your hospital cover for the full financial year.

Lifetime Health Cover (LHC) loading is a government charge which adds 2% on to the price you pay for Hospital Cover if you sign up after 30 June following your 31st birthday. The loading increases by 2% for every year you don’t join, up to a maximum of 70% and can only be removed after 10 years of continuous Hospital Cover.

For example, if you sign up at the age of 40 you’ll pay an extra 20% for your Hospital Cover compared to someone who joined aged 31.

12 months: Pregnancy and Birth Services; Pre-existing Conditions: When a customer has shown symptoms of a condition during the 6 months prior to joining this health fund or upgrading their Hospital Cover. This does not apply to Palliative Care, Rehabilitation or Psychiatric services.

Not all of the above services are included with each level of Health Insurance cover. Waiting periods apply to customers not currently covered for these services. Use our Health Insurance comparison table to see the complete list of included and excluded services.

Registered Office, Level 28, 266 George St, Brisbane QLD 4000. Information provided is general advice only and has been prepared without taking into account any person’s particular objectives, financial situation or needs. Read the relevant Product Disclosure Statement or Policy Document available at www.aami.com.au and consider whether it’s appropriate for you before making any decisions about whether to buy or continue to hold a product. Information current as of 9 July 2015.